| NPI | 1831229269 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 108232)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 11932)  | 
| Enumeration Date | 2007-03-06 | 
| Last Update Date | 2007-07-08 |